Customer Satisfaction Survey CLINICAL SERVICES (Behavioral, Psychological, OT, PT, etc) Question Title * 1. What is your relationship with ABA, LLC I am a client I am a parent/guardian I am a case manager I am a waiver provider I am a state guardian Other Other Question Title * 2. I receive the following services from ABA, LLC Behavioral Supports Occupational Therapy Speech Therapy Physical Therapy Counseling Community Access Community Living Supports (CLS) Person Centered Coaching Personal Assistance Question Title * 3. My services address the critical areas of concern. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 4. My services are easy to understand. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 5. My assessment(s) and intervention plan(s) are easy to understand. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 6. My services have improved relationships with others. Strongly Agree Agree Neutal Disagree Strongly Disagree Question Title * 7. My services have helped obtain a better quality of life. Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 8. My services have helped me to enjoy life and the community more. Strongly Agree Agree Neutral Disagree Strongly Disagree Next